Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.68 / $5,048.00 / $10,767.00	Facility		$56.68	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $53.69 / $59.31	Professional		$38.69	$53.69	$59.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $53.59 / $73.95	Professional		$42.08	$53.59	$73.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $44.86 / $93.82	Facility		$43.79	$44.86	$93.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $62.76 / $84.72	Professional		$50.21	$62.76	$84.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.26 / $56.68 / $86.32	Facility		$41.26	$56.68	$86.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $49.12 / $87.27	Professional		$28.00	$49.12	$87.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $36.92 / $77.59	Facility		$19.55	$36.92	$77.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $49.87 / $95.79	Professional		$21.25	$49.87	$95.79
United Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $64.95 / $105.15	Professional		$42.89	$64.95	$105.15